Individual provider Active NPI

Kerri M Fontaine, CRNA

  • Certified Registered Nurse Anesthetist
  • Lewiston, ME
National Provider Identifier
1821392192
Registry record updated Jul 15, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Certified Registered Nurse AnesthetistTaxonomy code 367500000X
License
RNA113004 Issued in ME
Practice address
300 Main St
Lewiston, ME 04240-7027
Phone
(207) 795-0111
NPI assigned
Dec 31, 2010
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 15, 2013

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Certified Registered Nurse Anesthetist 367500000X RNA113004 ME Primary

Addresses

Primary practice location

300 Main St
Lewiston, ME 04240-7027

Mailing address

300 Main St
Lewiston, ME 04240-7027
Phone (207) 795-0111

Other names 1

  • Kerri M Davis Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in ME, NH2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20110602000151 ME Practitioner - Certified Registered Nurse Anesthetist (Crna) 4688850795 Reassigns benefits to 8 organizations
I20260416003620 NH Practitioner - Certified Registered Nurse Anesthetist (Crna) 4688850795 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Certified Registered Nurse Anesthetist (Crna)
Education
Other, 2010
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Central Maine Medical Center 344 clinicians
Anesthesia Care Group PC 35 clinicians

Practice addresses (Care Compare)

300 Main St
Lewiston, ME 04240-7027
Phone (207) 795-0111

5 Alumni Dr
Exeter, NH 03833-2128
Phone (603) 778-7311

88 McGregor St
Suite 303
Manchester, NH 03102-3734
Phone (603) 647-9325

Hospital & facility affiliations

  • Exeter Hospital Inc Hospital, Exeter, NH, CCN 300023
  • Central Maine Medical Center Hospital, Lewiston, ME, CCN 200024

Merit-based Incentive Payment System (MIPS)

Final score
90.63 of 100Reported as group
Quality
77.69
Promoting interoperability
95
Improvement activities
40
Cost
78.59

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
RNA113004MEMDCertified Registered Nurse Anesthetist

Practice roles

OrganizationSpecialtyStatusNew patients
Rumford Hospital CurrentSince Dec 13, 2024 Accepting new patients
Rumford Hospital CurrentSince Dec 13, 2024 Accepting new patients
True North Anesthesia L.L.C. Nurse Anesthetist, Certified Registered CurrentSince Jun 17, 2022 Accepting new patients
Mainehealth CurrentSince Mar 13, 2020 Accepting new patients
Bridgton Hospital CurrentSince Dec 13, 2024 Accepting new patients
Mainehealth CurrentSince Mar 13, 2020 Accepting new patients
Central Maine Medical Center CurrentSince Dec 13, 2024 Accepting new patients
Bridgton Hospital CurrentSince Dec 13, 2024 Accepting new patients
Maine Anesthesia Partners LLC Nurse Anesthetist, Certified Registered CurrentSince May 2, 2024 Accepting new patients
Mainehealth Current Accepting new patients

Locations

455 Harlow St
Bangor, ME 04401
Phone (207) 992-4032

10 Hospital Dr
Bridgton, ME 04009
Phone (207) 647-6000

123 Medical Center Dr
Brunswick, ME 04011
Phone (207) 373-6800

300 Main St
Lewiston, ME 04240
Phone (207) 795-2400

53 Sewall St
Portland, ME 04102
Phone (207) 350-5019

22 Bramhall St
Portland, ME 04102
Phone (207) 662-2179

420 Franklin St
Rumford, ME 04276
Phone (207) 364-4581

405 Western Ave
South Portland, ME 04106
Phone (207) 272-0707

325A Kennedy Memorial Dr
Waterville, ME 04901
Phone (207) 667-9690

Organizations & group practices 14

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

View all 14

Hospital & facility affiliations 2

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1293753600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1373846400000",
    "number": "1821392192",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "300 MAIN ST",
            "city": "LEWISTON",
            "state": "ME",
            "postal_code": "042407027",
            "telephone_number": "207-795-0111"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "300 MAIN ST",
            "city": "LEWISTON",
            "state": "ME",
            "postal_code": "042407027",
            "telephone_number": "207-795-0111"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FONTAINE",
        "first_name": "KERRI",
        "middle_name": "M",
        "credential": "CRNA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2010-12-31",
        "last_updated": "2013-07-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "367500000X",
            "taxonomy_group": "",
            "desc": "Nurse Anesthetist, Certified Registered",
            "state": "ME",
            "license": "RNA113004",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "KERRI",
            "last_name": "DAVIS",
            "middle_name": "M",
            "credential": "CRNA",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Lewiston, ME

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 15, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.